Individual provider · Type 1 NPI
Jacob Lawrance Henson
Acute Care Nurse Practitioner · Los Angeles, CA
NPI number
1689370405
Active
Practice location
757 Westwood Plz
Los Angeles, CA 90095-4228
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Transplant Surgery Physician | 204F00000X | 95018746 (CA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 95018746 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1689370405
Jacob Lawrance Henson's National Provider Identifier is 1689370405, issued on Feb 2, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 12, 2023.